Provider Demographics
NPI:1730648734
Name:EPICCARE HOME HEALTH, LLC.
Entity Type:Organization
Organization Name:EPICCARE HOME HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-838-7055
Mailing Address - Street 1:3900 WOODLAKE BLVD STE 200-10
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3044
Mailing Address - Country:US
Mailing Address - Phone:561-838-7055
Mailing Address - Fax:561-838-7056
Practice Address - Street 1:3900 WOODLAKE BLVD STE 200-10
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-838-7055
Practice Address - Fax:561-838-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health